Pain & Parkinson's
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1. Do you have pain that accompanies or is a result of your Parkinson's symptoms?

Do you have pain that accompanies or is a result of your Parkinson's symptoms? Yes

No (if no, skip to Q9)

2. Where is your pain (check all that apply)?

Where is your pain (check all that apply)? Hands Arms Shoulder Neck	Legs Hips Feet Back
Other (please specify)

3. Does the pain get disabling enough that you take medication or use some other therapy for relief?

Does the pain get disabling enough that you take medication or use some other therapy for relief? Yes

If yes, please describe.

4. Is your pain relieved or improved by PD medication(s)?

Is your pain relieved or improved by PD medication(s)? Yes

5. Do you believe, or has your doctor told you, the pain is due to your Parkinson's?

Do you believe, or has your doctor told you, the pain is due to your Parkinson's? Yes

If yes, please explain (e.g., I have dystonia due to dyskinesia in my feet).

6. Do you believe, or have you been told, the pain is due to a medication you have taken long term for Parkinson's?

Do you believe, or have you been told, the pain is due to a medication you have taken long term for Parkinson's? Yes

7. Does your level of pain fluctate with motor symptoms?

Does your level of pain fluctate with motor symptoms? Yes

8. How would you rate your pain, most of the time?

	Not at all severe	Occassionally severe	Frequently severe	Severe most of the time	Severe all of the time
My pain is:	How would you rate your pain, most of the time? My pain is: Not at all severe	My pain is: Occassionally severe	My pain is: Frequently severe	My pain is: Severe most of the time	My pain is: Severe all of the time

9. Have you ever been told you have, or been diagnosed with, any of the following (check all that apply - if associated with your site of pain)?

Have you ever been told you have, or been diagnosed with, any of the following (check all that apply - if associated with your site of pain)? Fibromyalgia Dystonia Severe dyskinesia	Degenerative disc disease Herniated or bulging disc Arthritis	Spinal cord injury Spinal stenosis Scoliosis
Other (please specify).

10. Please provide us with the following demographic information.

Please provide us with the following demographic information. Year Born
Year Diagnosed

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Pain & Parkinson'sExit this survey